Lisa is a 34-year-old teacher seeking treatment for Binge Eating Disorder. She weighs 225 pounds. Lisa’s predisposition to obesity appears to be inherited, both genetically and from an environment where family gatherings and expressions of love revolve around food. As a child, her parents rewarded Lisa with food. As an adult, she continues to reward herself at the end of each pay period by dining at an all-you-can-eat buffet.